Organization Active NPI

Covenant Care Wisconsin LLC

  • Home Health Agency
  • Appleton, WI
National Provider Identifier
1881520583
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COVENANT CARE WISCONSIN LLC
Practice address
4216 N Terraview Dr
Appleton, WI 54913-6316
Phone
(262) 212-2368
NPI assigned
Jun 20, 2026
Last updated
Jun 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Oladimeji Tomori
Title
Ceo
Phone
(262) 212-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4216 N Terraview Dr
Appleton, WI 54913-6316

Mailing address

4216 N Terraview Dr
Appleton, WI 54913-6316

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1881520583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 N TERRAVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 N TERRAVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136316",
            "telephone_number": "262-212-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "TOMORI",
        "authorized_official_first_name": "OLADIMEJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-212-2368",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.